18186 - 15.19 Total Plan Case Requirements
This procedure appears on the selected insurer prior authorization source.
15.14 Medicare Services and Cost Sharing Requirements ................................................................. 175 - 15.17 Retroactive Recoveries ......................................................................................................... 17985 15.18 Post-Payment Recovery Requirements ................................................................................ 18185 15.19 Total Plan Case Requirements .............................................................................................. 18186 15.20 Joint and Mass Tort Cases ......................................................................................................... 187 15.21 Value-Based Purchasing ............................................................................................................ 188
- Confirm benefit details
- Submit clinical notes if requested by the plan
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.